Doctor Name: | BRIANNE HOFFMAN |
NPI Number: | 1316371321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA60474014 |
Business Practice Address: | 745 Williams St Mossyrock, WA - 985649004 |
Business Phone Number: | 3609838990 |
Business Fax Number: | |
Mailing Address: | Po Box 324, ONALASKA |
State: | WA |
Postal Code: | 985700324 |
Phone Number: | 2536869134 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA60474014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |